HomeMy WebLinkAbout040-1267-50-000 (2) Wisconsin Department of
Relations Industry.
Labor and Human Rel SOIL AND SITE EVALUATION REPORT Page I of 3
Division of Safety&Buildrgs
in accord with ILHR 83.05,Wig.Adrrt:..
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size,."Plan must i cluO,,but S-71 C'7Z_0 lX
not limited to vertical and horizontal reference point(BM),direction and,%of slope,s¢ o'; CEL I.D.#
dimensioned,north arrow,and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION AU DATE u r 5 of
PROPERTY OWNER: PROPER ATION
sctiu1j a Gappw 114S� S NCjT ZJ} NR q E( W
PROPERTY OWNER':S MAILING ADDRESS. LOT# BLOC U@D:, AME OR CSM#
ZS8 2LV ?S1DE D21UE �.°1� ..� SMo1i S` IA .
CITY,STATE ZIP CODE PHONE NUMBER ❑ OWN ' NEAREST ROAD
1ZLU l�S wl sy oZZhIS) �[Zs- i�tt,1 �"�Z p`-( E►'tP1R1r guit_D�jZ bT2
New Construction Use Residential!Number of bedrooms [ J AdditiQn to existing building
[ J Replacement [ ] Public or commercial describe L
Code derived daily flow b 0Q gpd Recommended design loading rate _bed,gpdtft2 - trench,gpd/ft2 A40 j IM)
Absorption area required Sn bed,ft2 SbI3 trench,ft2 Ma)amum design loading rate 5 bed,gpd/ft2 trench,gpd/ft2
Recommended infiltration surface elevation(s) 10 . S 1
It (as referred to site plan benchmark)
Additional design/site considerations M UUIUn W FYX-63" t3ND L
M 7 U. Ll'OF=- 3f -j-, H LL (st1a-fv0-M ory Z
Parent material �- g aVL�iL Ltwt I 'Tw(�: Flood plain elevation,if applicable M; ft
S=Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable for stem ❑S 11 U ®S ❑U [IS ®U I ❑S RU [IS ®U I ❑S o U
SOIL DESCRIPTION REPORT
Bodn # Horizon Depth Dominant Color Mottles Structure
g in. Munsell I Ou.Sz.Cont Color (Texture Gr.Sz.Sh. Cons�tence I R
13 -0-11- Bed rer>cf1 11J`1R 31Z
7. tiZ 3o ti�`�2 316 _ S)l 12 m'Fh CS
Ground 3 3o-y Z.S`t R 31
elev.
�?ft Lj y 1 - ►b`12 6l3 - LSg� - - - 1uP €)Ji>
Depth to
limiting
factorl,,
Remarks:
Boring#
� o-$. 1�`�fZ 313 - si 1 Z�S�� �+�.'� �S l� •s K6
El
.L
3 -37 Lod 2 316
Ground s r 1 1 e-S
ft 1�_ 31
Depth to
limiting
factor
�h
Remarks:
T Name:-Please Print Phone:
Arthur L. We erer 715-425-0165
egs�rer Soil Testing & Design Service-P.O. Box 74 River .Falls,WI. 54022
Sgnature: � Date: CST Numbe .
o`, Qv-1o3- CYL 5 -9-00 r.220254
f �
PROPERTY OWNER_ /SQ"L4-Z SOIL DESCRIPTION REPORT page Lot 3
PARCEL I.D,tY Pt?VDI N C
Boring# Horizon Texture ure Consistence Boundary
Depth Dominant Color Mottles Struct GPD/ft
A in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Roots Bed ITmrxh
.S ;
Ground 3 2_-)-y 7•S`irz- VII -1-S�iiZ SA S)cJ con, Y'1,9i NP .Z
elev.
19 -1 it. 9 LL-Z- IUYR C LS13R
Depth to = l� S �1 Z O` 1U RI�Pd'z. p L tvr y Muct
limiting
factor ti `,11b uu ( u )h1
I e-
Remarks:
Boring #
r:
Ground
elev.
ft.
Depth to —
limiting
factor
Remarks:
Boring #
t:rt z
Ground
elev.
ft.
Depth to
limiting
factor
�'
Remarks:
3oring#
around
ilev.
it.
)eplh to
imiling
actor
Remarks:
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PLOT PLAN I Page 3 of 3
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